Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tad Jacob Taggart, RD, CD

Individual provider Registered Dietitian · NPI 1508535006

Tad Jacob Taggart, RD, CD is a Registered Dietitian OR Nutrition Professional in De Pere, Wisconsin. Qualified in 2020, 6 years ago. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2021
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

See every abbreviation used in this directory →

Practice location Address checks out

1710 Lawrence Dr Ste 200
De Pere, WI 54115-9195
Phone: (920) 570-6339
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X (WI)

Record details

NPI number1508535006
Entity typeIndividual (Type 1)
GenderMale
Credentials RD , CD
Sole proprietorNo
NPI enumeratedSeptember 8, 2021
Last updated in NPPESSeptember 8, 2021
Certification dateSeptember 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in De Pere